Level 5 Urology and Related Services in Hawaii
What 11 hospitals in Hawaii charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$22,540
Hospital list price billed
Average allowed
$5,985
Medicare's payment + patient's share
Medicare paid
$4,751
Average per service
State rank
#48 of 49
1 = lowest average payment
Hospitals in Hawaii billed an average of $22,540 for level 5 urology and related services, about 3.8 times the average medicare-allowed amount of $5,985. That payment is 21% above the U.S. average of $4,934.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $5,985Billed $22,540
About 27¢ was paid for every $1 hospitals in Hawaii billed for this service.
Hawaii hospitals: level 5 urology and related services
Every Hawaii hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Straub Clinic and HospitalHonolulu | 89 | $24,708 | $5,758 | $4,553 |
| The Queens Medical CenterHonolulu | 69 | $28,542 | $5,814 | $4,604 |
| Pali Momi Medical CenterAiea | 59 | $16,784 | $5,871 | $4,661 |
| Hilo Medical CenterHilo | 58 | $14,787 | $6,374 | $5,075 |
| Maui Memorial Medical CenterWailuku | 31 | $31,541 | $6,374 | $5,078 |
| Castle Medical CenterKailua | 28 | $24,855 | $5,951 | $4,742 |
| Kona Community HospitalKealakekua | 14 | $18,301 | $6,374 | $5,078 |
| Kuakini Medical CenterHonolulu | 12 | $14,019 | $5,951 | $4,742 |
| Kaiser Foundation HospitalHonolulu | – | – | – | – |
| Wilcox Memorial HospitalLihue | – | – | – | – |
| North Hawaii Community HospitalKamuela | – | – | – | – |
Lowest and highest allowed amounts in Hawaii
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Straub Clinic and HospitalHonolulu, HI | $5,758 |
|---|---|
| The Queens Medical CenterHonolulu, HI | $5,814 |
| Pali Momi Medical CenterAiea, HI | $5,871 |
| Castle Medical CenterKailua, HI | $5,951 |
| Kuakini Medical CenterHonolulu, HI | $5,951 |
Highest
| Hilo Medical CenterHilo, HI | $6,374 |
|---|---|
| Maui Memorial Medical CenterWailuku, HI | $6,374 |
| Kona Community HospitalKealakekua, HI | $6,374 |
| Castle Medical CenterKailua, HI | $5,951 |
| Kuakini Medical CenterHonolulu, HI | $5,951 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in Hawaii?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 11 hospitals in Hawaii was billed at $22,540 on average, while the average medicare-allowed amount was $5,985, of which Medicare paid $4,751. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Hawaii, average charges were 3.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.